Badahdah Hani M, Zgonis Thomas
Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.
Division of Podiatric Medicine and Surgery, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.
Clin Podiatr Med Surg. 2017 Oct;34(4):425-431. doi: 10.1016/j.cpm.2017.05.001. Epub 2017 Jul 10.
Ankle arthrodiastasis provides an alternative surgical treatment of the mild to moderate posttraumatic ankle arthritis. Ankle arthrodesis or ankle implant arthroplasty is usually reserved for the end-stage ankle arthritis and after conservative treatment options have been implicated for a long period of time. Ankle joint destructive procedures are often considered for the older and less active population with strict selected surgical criteria and prolonged rehabilitation. In either ankle joint-sparing or ankle destructive procedures, lower extremity deformity correction will need to be addressed before or at the time of index surgery for the overall patient's successful outcome.
踝关节撑开术为轻至中度创伤后踝关节炎提供了一种替代性手术治疗方法。踝关节融合术或踝关节植入物置换术通常用于终末期踝关节炎，且在长期采用保守治疗方案之后。对于年龄较大、活动较少且有严格手术选择标准和长期康复需求的人群，常考虑采用踝关节破坏手术。在踝关节保留手术或踝关节破坏手术中，为了患者整体获得成功的治疗效果，需要在初次手术前或手术时解决下肢畸形矫正问题。
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